tag:blogger.com,1999:blog-2760353953251845523.post70682424468193307..comments2015-03-03T18:30:33.228-05:00Comments on Buckeye Surgeon: MammositeJeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-2760353953251845523.post-54443763438625294952008-10-09T00:35:00.000-04:002008-10-09T00:35:00.000-04:00drb: I was talking about the study on non-complian...drb: I was talking about the study on non-compliance in completing radiation, not the APBI et al. B.Surg linked to it on a Reuters site early in the post.DrMidlifehttp://www.blogger.com/profile/06383138099962558285noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-64242447712332812802008-10-08T21:57:00.000-04:002008-10-08T21:57:00.000-04:00Really? Because the experience that I have had he...Really? Because the experience that I have had here in New York (granted, not mine, directly, but that of a good friend who is a surgical oncologist) has been no insurance coverage. I had that discussion with him this past April. Is it possible that things have changed since then, or that they are different here in NY?DrBhttp://www.blogger.com/profile/15957078718446547740noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-52634378599957458202008-10-08T19:23:00.000-04:002008-10-08T19:23:00.000-04:00DrB- Not true about the insurance. Granted, you n...DrB- Not true about the insurance. Granted, you need to talk to your insurer prior to starting, but partial breast irradiation is more often than not covered....Buckeye Surgeonhttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-54917684228816134482008-10-08T12:11:00.000-04:002008-10-08T12:11:00.000-04:00By the way, drmidlife, are we looking at the same ...By the way, drmidlife, are we looking at the same study? The prospective one written in 2005 that includes women &gt;18yo?DrBhttp://www.blogger.com/profile/15957078718446547740noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-46514650978576766302008-10-08T11:32:00.000-04:002008-10-08T11:32:00.000-04:00Remember, too, that since this is in trials, no in...Remember, too, that since this is in trials, no insurance will be covering the costs. That can certainly be a limiting factor for many people.DrBhttp://www.blogger.com/profile/15957078718446547740noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-7347137015097740252008-10-06T21:52:00.000-04:002008-10-06T21:52:00.000-04:00Med student here. Well, I would have been one, bu...Med student here. Well, I would have been one, but I've had to defer for a year due to breast cancer. So I'm deep in it.<BR/><BR/>I'm not that moved by the 10-15% non-compliance in this study. All the women were over 66, the study watched '92 to '02, and the study says that it's mostly women who have <I>mastectomies</I> who are non-compliant. Um, which tumor bed is being irradiated in this case? Are these women at the end of many months of chemo before radiation starts, and if so, is it fair to have high expectations in cases where there's an absence of traditional structure (aka husband/job/car)? And, isn't sandwiching chemo-rad-chemo at least a partial answer?<BR/><BR/>I'd like to see what the similar compliance numbers are for chemo: how many walk away once the fatigue suckage hits, or when they can't work anymore, etc.DrMidlifehttp://www.blogger.com/profile/06383138099962558285noreply@blogger.com